Bertha Dolores Saucedo in Belmont - Pediatrics

Bertha Dolores Saucedo - NPI 1114005634

Bertha Dolores Saucedo is a Pediatrics in Belmont, California. Bertha Dolores Saucedo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bertha Dolores Saucedo is 1114005634. The last update date is 2007-07-08.

Bertha Dolores Saucedo's current location address is 2005 Lyon Ave, Belmont, California. You can contact this provider via phone number 6505927137. The mailing address for Bertha Dolores Saucedo is 2005 Lyon Ave, Belmont, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Bertha Dolores Saucedo
Address 2005 Lyon Ave, Belmont, California
Phone Number 6505927137
Fax Number
Sole Proprietor N
Credentials PNP

NPI Number Detail

NPI Number 1114005634
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2005 Lyon Ave
City Belmont
State California (CA)
Post Code 940021636
Phone Number 6505927137
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 5149
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
27954 CA LINCENSE

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FAQs about Bertha Dolores Saucedo

What is the unique identifier code issued to Bertha Dolores Saucedo by the Centers for Medicare & Medicaid Services (CMS)?

The Bertha Dolores Saucedo has been assigned the NPI (National Provider Identifier) 1114005634. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Bertha Dolores Saucedo is physically located?

The Bertha Dolores Saucedo is situated at the following address: 2005 Lyon Ave, Belmont, CA 940021636.

What is the Bertha Dolores Saucedo's specialty and taxonomy code?

The Bertha Dolores Saucedo's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.

On what date did Bertha Dolores Saucedo receive its 1114005634 assignment from the Centers for Medicare & Medicaid Services?

The Bertha Dolores Saucedo was assigned its 1114005634 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Bertha Dolores Saucedo most recently updated?

The details pertaining to the Bertha Dolores Saucedo, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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